In addition she complained of troublesome breathing with a deviated septum and sinusitis. Dr De Silva completed a combined open rhinoplasty and septoplasty including reduction of her nasal bump. In addition he performed sculpting of her nasal tip and elevation of the nasal tip to a more attractive position. The reviewed photograph was taken approximately 8-weeks after surgery, the photograph shows an improved nasal profile, with a straight nose, attractive and natural looking nose, in addition to improvement in breathing.

On review of her photograph he had a relatively large nose in proportion to his relatively tall physique. Dr De Silva performed open rhinoplasty with a reduction of nasal hump with additional support of the bridge of his nose with sculpted grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the ‘post’ photograph shows a straight nose, subtle elevation of tip and a nose that is harmony with the proportions of his face.

He was very happy with the final result and wrote the review below. The patient wrote this review “I had rhinoplasty performed. Leading up to the procedure, Dr Julian was very helpful and welcoming, along with his delightful team. The procedure went extremely well and am very happy with the result, I would recommend Dr Julian to anyone considering facial surgery. I would definitely use him again if I was considering a different procedure.”

On review of her photograph he had a relatively bulbous nasal tip and relative flaring of the nostrils. Dr De Silva performed open rhinoplasty with a shaping of the nasal tip cartilages with additional support of the bridge of his nose with sculpted grafts. In addition she underwent measured nostril reduction with hidden incisions and preserving normal breathing. Review of the ‘post’ photograph at 4-months shows a straight nose with refined nasal tip and reduced nostril size.

On review of her photograph she had a large nasal bump and over-projection of her nose. Dr De Silva performed rhinoplasty with a reduction of the nasal bump with additional support of the bridge of his nose with grafts to protect breathing and nasal function. In addition the nose was shortened and projection reduced again with supporting cartilage grafts. Review of the ‘post’ photograph at 6-weeks shows a straight nose with refined nasal tip and a natural looking result. The patient was able to return to work 10-days after surgery without fellow employees noticing her surgery. The woman was very happy with the natural looking results and fast recovery. The surgery is considered an ethnic rhinoplasty as the patient had relatively thick sin and weak nasal cartilages.

On review of her photographs she had a wide tip with no light reflex and relatively wide nostrils. Dr De Silva performed rhinoplasty with shaping of the nasal tip cartilages. In addition the nostrils were narrowed. Review of the ‘post’ photograph at 4-weeks shows a more refined nasal tip with a light reflex, swelling is still present and the tip will continue to improve of the next 6 months. The patient was able to start a new job 10-days after surgery. The woman was very happy with the results.

On review of her photograph he had a relatively large nose in proportion to his face with a large nasal hump. Dr De Silva performed rhinoplasty with a reduction of nasal hump using a micro burr which allowed fine control reduction with additional support of the bridge of his nose with grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the ‘post’ photograph which is taken only 1-week after surgery shows straight nose, subtle elevation of tip and a nose that is harmony with the proportions of his face. Although only one week after surgery and there is swelling present, a marked improvement can be seen.

She looked for a surgeon who would be able to both improve the appearance including her nose and face with an artistic eye. After a detailed consultation with Dr De Silva she underwent a rhinoplasty with chin augmentation under sedation anaesthesia. Dr De Silva shaped her nasal tip cartilage with a combination of sculpting techniques and special stitches, reduced her nasal bump with a specialised micro-refining instrument and improved the lower third of her face with chin augmentation. After surgery she took a selfie photo at 1-week after the surgery that showed a marked improvement in her facial balance. The after photographs taken only 6-weeks after surgery show a refined nasal tip, feminine nasal bridge and shaped nasal tip. The patient was very happy with the final result.

She looked to find a plastic surgeon who would be able to help her with this. On meeting with Dr De Silva, both her objectives from surgery and expectations were discussed. She underwent an open rhinoplasty with septoplasty under sedation anaesthesia (twilight anaesthesia). Dr De Silva utilised specialised micro-burr, and cartilage techniques to refine and reshape the cartilages narrowing both the bridge of his nose and subtly lifting the tip of her nose. She was very happy with the results of her natural looking surgery.

She looked for a surgeon who would be able to both improve the appearance including her nose and face with an artistic eye. After consultation with Dr De Silva she underwent a rhinoplasty under sedation anaesthesia. Dr De Silva allows extra time for every patients surgery and removing the filler took almost 1-hour longer than planned. The patient was very happy with the final result.

She looked for a surgeon who would be able to both improve the appearance including her nose and face with an artistic eye. After a detailed consultation with Dr De Silva she underwent a rhinoplasty with chin augmentation under sedation anaesthesia. Dr De Silva shaped her nasal bridge reducing the high bridge to make a smooth and even bridge, and improved the lower third of her face with chin augmentation. The after photographs taken 6-weeks after surgery which show an improved facial balance and harmony, a more feminine nasal bridge and shaped nasal tip. The patient was very happy with the final result.

It really was a refinement she was looking for, more refined tip, smaller and no hump. Rhinoplasty is a surgery of millimetres, and refinement rhinoplasty is often more challenging as it is all about the real fine details. It is important that a patient appreciate your nose can be improved however perfection is very difficult to obtain. Although about 50% of rhinoplasty is technical detail and measurements the other 50% is artistic licence that is difficult to objectively measure. I completed my signature rhinoplasty, septoplasty under sedation anaesthesia. Wow! she had an amazing result, natural, feminine and in proportion to the rest of her face. She was very grateful for a stunning result!

I completed a thorough evaluation of her nose as patients with deviated nose nead a cautious approach to evaluate the septum and breathing, the function of your nose is as important as the appearance. I completed my signature natural rhinoplasty with septoplasty and otoplasty. I used some of the cartilage from her septum as graft material to make her nose straighter and improve her breathing, termed spreader grafts. There was notable asymmetry of her bones and she needed osteotomies to improve this. Piezo ultrasound technology can be used to reduce the bones a controlled way. With her ears there were two parts to improving the shape of ears, reducing the volume of cartilage in the ear and enhancing a crease at the top of ear to tuck the ears in. Your ears are made out of cartilage with a memory so they want to go back to their original shape, care is required to ensure they stay as they are in their new position. I am sure you agree she looks absolutely great, natural and beautiful in every way possible.

She looked for a surgeon who specialised in Asian rhinoplasty to improve the appearance of her nose and was personally recommended to see Dr De Silva. After a detailed consultation with Dr De Silva she underwent open ethnic rhinoplasty with septoplasty under sedation anaesthesia. Dr De Silva shaped her nasal tip cartilage with a combination of sculpting techniques and dissolvable stitches, the use of specialised graft material to increase the definition the in her nasal bridge and tip, and narrowing of her nostrils (alar reduction). After surgery there is a marked improvement in the definition in her nose and the after photographs taken 3-months after surgery show a more defined nasal bridge and narrower more refined nasal tip. Dr De Silva supported her nose with supporting grafts to maintain the shape of her nose long-term. At 3-months after ethnic rhinoplasty surgery there is swelling present and this will continue to improve over the next 12-18 months as more definition will be apparent in the nasal bridge and nasal tip.

On review of his photograph he had a relatively large nose in proportion to his face with a large nasal hump. He had wanted very natural looking surgery so that is work colleagues and friends would not be able to tell her underwent surgery. Dr De Silva performed an ethnic rhinoplasty with a reduction of nasal hump using a micro burr which allowed fine control reduction with additional support of the bridge of his nose with grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the “after photographs are shown at 1-week and at 6-weeks. At 1-week an improvement in his profile can be seen, although a normal amount of swelling is present. At 6-weeks after surgery although there is swelling present, a marked improvement can be seen, with a more balanced profile and the patient was very happy with the results. The patient took two weeks off work and the result from his surgery was natural. Dr De Silva specialises in natural looking ethnic rhinoplasty, each surgery is tailored to the individual needs of each patient, for this reason ethnic rhinoplasty takes 3 hours for most patients.

She looked to find a facial plastic surgeon who would be able to help her with this. On meeting with Dr De Silva, spent time to discuss her nose as she was looking for conservative “refinement” rhinoplasty. She underwent rhinoplasty with septoplasty under twilight anaesthesia with Dr De Silva. Dr De Silva utilised specialised micro-burr, and cartilage techniques to refine and reshape the cartilages narrowing both the bridge of her nose and subtly lifting the tip of her nose. She was very happy with the results of her natural looking surgery. Click here to view video testimonial.

On review of his photograph he had a relatively large nose in proportion to his face with a large nasal hump. Dr De Silva performed rhinoplasty with a reduction of nasal hump using a micro burr which allowed fine control reduction with additional support of the bridge of his nose with grafts. In addition he underwent sculpting of the nasal tip cartilages with mild reduction of his projection (size of nose, position of the nose from the face). Review of the “after” photograph shows a nose that is harmony with the proportions of his face. Six weeks after surgery although there is swelling present, a marked improvement can be seen, the patient was very happy with the final result.

On review of her photograph he had a relatively bulbous nasal tip and droopy nasal tip. Dr De Silva performed open rhinoplasty with a shaping of the nasal tip cartilages with additional support of the bridge of his nose with sculpted grafts. Review of the “post” photograph shows a more refined nasal tip with subtle elevation of her nose keeping the same characteristics of her face at the same time as shortening her nose and resulting in better facial harmony. Before the surgery she had been very anxious about undergoing rhinoplasty under sedation anaesthesia, however was very happy with her decision as she had an enhanced recovery with minimal swelling and no bruising. Click here to view video testimonial.

With a consequence of her ethnicity the anatomy of her nose was characterised by relatively thick skin, wide nasal tip and large asymmetrical nostrils. Dr De Silva specialises in ethnic rhinoplasty and completed a revision ethic rhinoplasty that included specific grafting techniques to improve the definition in her nasal tip in addition to conservative narrowing of her nostrils. Dr De Silva supported her nose with supporting grafts to maintain the shape of her nose long-term. The reviewed photograph was taken 3-months after surgery, the photograph shows an improved nasal tip and a narrow more balanced looking nose. At 3-months after ethnic rhinoplasty surgery there is swelling present and this will continue to improve over the next 12-months as more definition will be apparent in the nasal bridge and nasal tip. The patient was very happy with the results of her surgery.

She had a relatively large nose with bump on the bridge of her nose and a bulbous tip. The patient underwent rhinoplasty with septoplasty under twilight sedation with Dr De Silva. The photos shown at only 6-weeks shows an improved nose with lifting of the tip, shaping of the bridge and tip and improved straightness. Refining of the cartilage in the tip of the nose with rhinoplasty can be a challenging and result in swelling, the final result is many months after the surgery when all the swelling has resolved. The patient was happy with the results from her rhinoplasty.

He Had thick ethnic skin that limits the definition of the nasal tip. Dr De Silva advised him to undergo open rhinoplasty to enable specific techniques to enhance nasal tip refinement in patients with thicker ethnic skin. In addition Dr De Silva utilises anti-swelling medication after surgery to improve the results further. The after photo shows a smaller more refined nose that is more in balance with his ethnicity